txheem
Kev cais tawm ntawm tus menyuam: nws yog dab tsi?
Kev rho menyuam tawm ntawm tus me nyuam, los yog retroplacental hematoma, yog qhov tsis tshua muaj tab sis muaj teeb meem hnyav ntawm cev xeeb tub uas tuaj yeem tsim kev phom sij rau tus me nyuam hauv plab, lossis txawm tias nws niam. Nws qhov muaj peev xwm hnyav ua rau pom kev saib xyuas ntshav siab, nws qhov kev pheej hmoo tseem ceeb, thiab kev sab laj ntawm qhov ntshav me me, nws cov tsos mob tseem ceeb.
Dab tsi yog placental abruption?
Kuj tseem hu ua retroplacental hematoma (HRP), qhov tso menyuam tawm sib haum sib xws rau qhov poob ntawm kev ua kom cov placenta mus rau phab ntsa ntawm lub tsev menyuam. Nws yog ib qho xwm txheej ceev ntawm cev xeeb tub, hematoma tsim cuam tshuam rau niam-menyuam hauv plab. Kwv yees li 0,25% ntawm cev xeeb tub raug cuam tshuam hauv Fabkis. Nws cov txiaj ntsig sib txawv nyob ntawm theem ntawm cev xeeb tub thiab qhov sib cais.
Ua rau muaj menyuam tsis taus
Qhov tshwm sim ntawm kev tso menyuam hauv plab feem ntau yog sai thiab tsis tuaj yeem kwv yees tau, tab sis, txawm li cas los xij, muaj feem cuam tshuam. Cov nto moo tshaj plaws yog:
- L'hypertension gravidarum thiab nws qhov cuam tshuam ncaj qha, ua ntej eclampsia. Yog li qhov tseem ceeb ntawm kev ua tib zoo saib xyuas lawv cov tsos mob: mob taub hau hnyav, nrov hauv pob ntseg, yoov pem hauv ntej ntawm lub qhov muag, ntuav, ua rau lub ntsej muag tseem ceeb. Thiab kom ua raws txhua lub sijhawm koj cev xeeb tub kom tau txais txiaj ntsig los ntawm kev ntsuas ntshav siab tas li.
- Kev haus luam yeeb thiab yeeb quav tshuaj. Cov kws kho mob thiab cov kws yug menyuam yuav raug rau kev kho mob tsis pub lwm tus paub. Tsis txhob ua siab deb tham txog teeb meem kev quav yeeb quav tshuaj nrog lawv. Kev kho tshwj xeeb tuaj yeem ua tau thaum cev xeeb tub.
- Mob plab. Feem ntau tus me nyuam hauv plab tau tiv thaiv los ntawm qhov tshwm sim ntawm kev poob siab thiab ntog los ntawm cov kua amniotic uas ua raws li lub hnab cua. Txawm li cas los xij, ib qho cuam tshuam rau lub plab xav tau kev qhia kho mob.
- Keeb kwm ntawm kev rho menyuam tawm.
- Cev xeeb tub tom qab 35 xyoos.
Cov tsos mob thiab kuaj mob
Kev tshem tawm ntawm lub tsho me nyuam feem ntau ua rau cov ntshav tsis muaj ntshav txuam nrog mob plab, xeev siab, ua rau tsis muaj zog lossis txawm tias tsis nco qab. Tab sis qhov xwm txheej ntawm qhov xwm txheej tsis zoo ib yam rau qhov siv los ntshav los yog mob plab. Cov tsos mob no yuav tsum yog li ntawd ib txwm suav tias yog cov cim qhia kev ceeb toom.
Ultrasound tuaj yeem lees paub tias muaj cov hematoma thiab ntsuas nws qhov tseem ceeb tab sis tseem txheeb xyuas qhov kev pheej hmoo ntawm lub plawv dhia hauv menyuam hauv plab.
Teeb meem thiab txaus ntshai rau leej niam thiab menyuam
Vim tias nws cuam tshuam cov pa oxygen tsim nyog ntawm tus menyuam hauv plab, kev tso menyuam hauv plab tuaj yeem ua rau tuag taus. nyob rau hauv utero los yog cov teeb meem hloov tsis tau, tshwj xeeb yog kev puas hlwb. Qhov kev pheej hmoo yuav muaj txiaj ntsig thaum ntau dua ib nrab ntawm qhov chaw tso me nyuam raug cuam tshuam los ntawm kev tshem tawm. Niam tuag yog tsawg dua tab sis nws tuaj yeem tshwm sim, tshwj xeeb yog tom qab los ntshav loj.
Kev tswj ntawm kev rho menyuam tawm
Yog tias qhov kev tshem tawm me me thiab tshwm sim thaum ntxov ntawm cev xeeb tub, kev so tsis txaus yuav tso cai rau hematoma daws teeb meem thiab cev xeeb tub mus txuas ntxiv nrog kev saib xyuas zoo.
Hauv nws daim ntawv nquag tshaj plaws, piv txwv li tshwm sim nyob rau peb lub hlis thib peb, kev tso menyuam hauv plab feem ntau xav tau kev phais mob xwm txheej ceev txhawm rau txhawm rau txo qis kev txom nyem menyuam hauv plab thiab muaj kev pheej hmoo los ntshav rau leej niam.